21.1 Eating Disorders

Question 1

Anorexia Nervosa physical findings?

Answer 1

• brady
• hypotensive
• ECG: PR interval

Question 2

Anorexia Nervosa urine shows?

Answer 2

urine: alkaline, low speific gravity

Question 3

Anorexia Nervosa abusing laxatives, affects which electrolyte?

Answer 3

magnesium

Question 4

Anorexia Nervosa phosphate?

Answer 4

hypophosphetaemia

Question 5

who gets Anorexia Nervosa?

Answer 5

• usually female
• lose menstruation
• around menarche
• anxious
• weight loss, 6-7kg in 4/12

Question 6

ESR levels in Anorexia Nervosa?

Answer 6

ESR is low in Anorexia Nervosa

Question 7

common way to die from Anorexia Nervosa?

Answer 7

in sleep.

hypothermic - hypoglycaemic, hypophosphataemic - long QTc - heart stops

Question 8

most important electrolyte in refeeding syndrome?

Answer 8

phosphate

Question 9

Anorexia Nervosa refeeding strategies?

Answer 9

more protein/fat

Question 10

highest risk of Anorexia Nervosa refeeding syndrome

Answer 10

day 4 - lowest phosphate

Question 11

Anorexia Nervosa refeeding, who is more at risk

Answer 11

lower BMI Anorexia Nervosa ppl

Question 12

Anorexia Nervosa refeeding, continuous or interval feeding?

Answer 12

-continuous at the start

Question 13

Anorexia Nervosa refeeding, how to target brain matter?

Answer 13

likely omega 3s on top of normal caloric replacement

Question 14

malnutrition and bone loss how much per year?

Answer 14

4-10% per year

Question 15

liver toxicity in Anorexia Nervosa?

Answer 15

hepatocellular steatosis

• raised transaminases
• cholesterol HDLs

Question 16

Anorexia Nervosa and renal long term effects?

Answer 16

irrevesible glomerular sclerosis

-due to purging